GHBC VBS 2026 Registration
Please complete this form thoroughly.
Child Name
*
First Name
Last Name
How old will this child be on June 22, 2026?
*
Please Select
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
13 years old
14 years old
Last Grade Completed:
*
Please Select
N/A
K-5
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Child Gender
Please Select
Male
Female
N/A
Parent or Guardian 1 Name (Required)
*
First Name
Last Name
Parent or Guardian 2 Name (Optional)
First Name
Last Name
Sibling Name, if already registered (If you fill out this part out, you can skip re-entering your address and parent contact information for each additional child.)
First Name
Last Name
Primary Mailing Address (Please list if not listed under a sibling's registration.)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent E-mail
*
example@example.com
Parent Mobile Number
*
Format: (000) 000-0000.
Additional Parent Contact Number
Format: (000) 000-0000.
Additional Emergency Contact Name (Optional)
First Name
Last Name
Emergency Contact Phone Number (Optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Added Pick-Up Contact Name (Required if someone other than a parent may pick up the child)
First Name
Last Name
If you currently attend a local church regularly, please list it here:
Church Name
Please list any special instructions, allergies, or relevant additional information:
By signing below, I agree to the following statement: I am the legal parent or guardian of the child listed above and am at least 18 years of age. I hereby give my permission for my child to attend the 2026 VBS at Garden Heights Baptist Church in Erie, PA, from June 22 to June 26, 2026. I waive any right to legal claims against the church or its employees or volunteers in case of personal injury, death, or damage to personal property associated with activities of this event.
*
How did you find out about this event?
*
Facebook
Personal invitation
Church website
Flyer
Post card
Church Announcement
Other
Do you give permission for your child's photo to be used on the GHBC website or Facebook page (without any identifying details, such as name or contact information)?
*
Yes
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